Individual
DR. JOSHUA ISAO CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
120 MINEOLA BLVD STE 460, MINEOLA, NY 11501-4067
(516) 663-9400
Mailing address
120 MINEOLA BLVD STE 460, MINEOLA, NY 11501-4067
(516) 663-9400
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
305721
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/25/2017
Last updated
01/31/2024
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